@layout("/common/_form.html",{js:["/assets/feedback/feedback_add.js"],plugins:["ue"]}){

<form class="layui-form" id="feedbackForm" lay-filter="feedbackForm">
    <div class="layui-fluid" style="padding-bottom: 75px;">
        <div class="layui-card">
            <div class="layui-card-header">基本信息</div>
            <div class="layui-card-body">
                <div class="layui-form-item layui-row">
                    <input name="id" type="hidden"/>
                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">企业名称<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input id="enterpriseName" name="enterpriseName" placeholder="请输入企业名称" type="text" class="layui-input" lay-verify="required" required/>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">联系人<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input id="contactPeople" name="contactPeople" placeholder="请输入联系人" type="text" class="layui-input" lay-verify="required" required/>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">电话号码<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input id="phone" name="phone" placeholder="请输入电话号码" type="text" class="layui-input" lay-verify="required" required/>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">公章图片<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <button type="button" class="layui-btn" id="uploadPhoto">
                                <i class="layui-icon">&#xe67c;</i>上传图片
                            </button>
                            <div class="layui-upload-list">
                                <img class="layui-upload-img" id="photoView"
                                     style="height: 150px;width: 150px">
                                <p style="width: 150px;" align="center">图片预览</p>
                            </div>
                            <input id="officialSealImg" name="officialSealImg" type="hidden" class="layui-input" lay-verify="required" required/>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">审核表示<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                        <select id="tag" name="tag" class="layui-input" lay-verify="required" required>
                            <option value=""></option>
                            <option value="未处理">未处理</option>
                            <option value="处理中">处理中</option>
                            <option value="已处理">已处理</option>
                        </select>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">回复<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input id="reply" name="reply" placeholder="请输入回复" type="text" class="layui-input" lay-verify="required" required/>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">意见内容<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
<!--                            <input id="content" name="content" placeholder="请输入意见内容" type="text" class="layui-input" lay-verify="required" required/>-->
                            <script id="content" name="content" type="text/plain" lay-verify="required" required></script>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">排序<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input id="sort" name="sort" placeholder="请输入排序" type="text" class="layui-input" lay-verify="required" required/>
                        </div>
                    </div>
<!--                    <div class="layui-inline layui-col-md12">-->
<!--                        <label class="layui-form-label">意见类型<span style="color: red;">*</span></label>-->
<!--                        <div class="layui-input-block">-->
<!--                            <input id="suggestionType" name="suggestionType" placeholder="请输入意见类型" type="text" class="layui-input" lay-verify="required" required/>-->
<!--                        </div>-->
<!--                    </div>-->
                    <!--<div class="layui-inline layui-col-md12">-->
                        <!--<label class="layui-form-label">创建时间<span style="color: red;">*</span></label>-->
                        <!--<div class="layui-input-block">-->
                            <!--<input id="createTime" name="createTime" placeholder="请输入创建时间" type="text" class="layui-input" lay-verify="required" required/>-->
                        <!--</div>-->
                    <!--</div>-->
                    <!--<div class="layui-inline layui-col-md12">-->
                        <!--<label class="layui-form-label">创建人<span style="color: red;">*</span></label>-->
                        <!--<div class="layui-input-block">-->
                            <!--<input id="createUser" name="createUser" placeholder="请输入创建人" type="text" class="layui-input" lay-verify="required" required/>-->
                        <!--</div>-->
                    <!--</div>-->
                    <!--<div class="layui-inline layui-col-md12">-->
                        <!--<label class="layui-form-label">更新时间<span style="color: red;">*</span></label>-->
                        <!--<div class="layui-input-block">-->
                            <!--<input id="updateTime" name="updateTime" placeholder="请输入更新时间" type="text" class="layui-input" lay-verify="required" required/>-->
                        <!--</div>-->
                    <!--</div>-->
                    <!--<div class="layui-inline layui-col-md12">-->
                        <!--<label class="layui-form-label">更新人<span style="color: red;">*</span></label>-->
                        <!--<div class="layui-input-block">-->
                            <!--<input id="updateUser" name="updateUser" placeholder="请输入更新人" type="text" class="layui-input" lay-verify="required" required/>-->
                        <!--</div>-->
                    <!--</div>-->
                </div>
            </div>
        </div>
    </div>
    <div class="form-group-bottom text-center">
        <button class="layui-btn" lay-filter="btnSubmit" lay-submit>&emsp;提交&emsp;</button>
        <button type="reset" class="layui-btn layui-btn-primary" ew-event="closeDialog">&emsp;取消&emsp;</button>
    </div>

</form>

@}